A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule?

A 4-month-old infant who has Down syndrome

An 18-month-old toddler who has failure to thrive

A 12-month-old infant who has sickle cell disease

A 3-year-old toddler who has leukemia

Answer and Explanation

The Correct Answer is D

A. A 4-month-old infant who has Down syndrome - Down syndrome itself is not a contraindication for altering the standard immunization schedule. Immunizations are typically administered based on chronological age.

B. An 18-month-old toddler who has failure to thrive - Failure to thrive, without specific contraindications, does not usually require alterations in the standard immunization schedule. Immunizations are generally administered based on chronological age.

C. A 12-month-old infant who has sickle cell disease - Sickle cell disease itself is not a contraindication for altering the standard immunization schedule. Immunizations are typically administered based on chronological age.

D. A 3-year-old toddler who has leukemia - Children with leukemia may have altered immune function due to their medical condition and treatment. In such cases, the immunization schedule may need to be adjusted based on the child's specific health status, following consultation with the healthcare provider.

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Correct Answer is D

Explanation

A. "A social worker can help you with the cost of supplies."

While assistance with the cost of supplies is important, understanding the living situation is crucial for determining the specific needs related to the special bed.

B. "Apply moisture barrier ointment three times a day."

Wound care instructions are important, but the client's living environment should be assessed first to ensure that the necessary conditions for proper care can be met.

C. "Eat a balanced diet with high-protein snacks."

Nutrition is an essential aspect of wound healing, but assessing the living situation takes precedence in the context of discharge planning.

D. "Describe the place where you are currently living"

This question is important to assess the client's living environment, as it will help in planning for the necessary accommodations and arrangements to prevent further pressure injuries.

A. Survey workers about job-related emotional stress. B. Measure noise levels at various locations in the facility C. Identify industrial toxins that are present in the environment. D. Track rates of illness caused by infection among employees

Correct Answer is B

Explanation

A. Survey workers about job-related emotional stress.

Explanation: This action is more focused on assessing psychosocial or emotional stressors rather than physical hazards.

B. Measure noise levels at various locations in the facility.

Explanation: Measuring noise levels at various locations in the facility is a direct way to assess a physical hazard, which is excessive noise in the workplace. Occupational health nurses often conduct environmental assessments to identify potential physical hazards such as noise, temperature extremes, ergonomic issues, and more.

C. Identify industrial toxins that are present in the environment.

Explanation: Identifying industrial toxins is related to chemical hazards, not physical hazards. While important, it does not directly address physical hazards like noise.

D. Track rates of illness caused by infection among employees.

Explanation: Tracking rates of illness caused by infection is related to biological hazards, not physical hazards. It is essential for preventing the spread of infectious diseases in the workplace but is not directly associated with physical hazards.

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A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

Correct Answer is D

Explanation

A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?

Correct Answer is B

Explanation

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A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule?

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